Effects of Continuous Treatment With Rifaximin and Probiotics on the Gut Microbiota of Patients With IBS-D

NCT ID: NCT04074421

Last Updated: 2020-07-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-10

Study Completion Date

2022-12-31

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

We will use the latest Rome IV criteria to recruit IBS-D patients and evaluate the effects of repeated treatment with rifaximin and sequential treatment with rifaximin and probiotics on different symptoms and quality of life. High-throughput sequencing combined with real-time quantitative PCR will be used to comprehensively analyze the effects of different drugs on intestinal flora. The study has important guiding significance for the treatment of patients with IBS-D.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

According to the Rome IV diagnostic criteria, 200 patients with with diarrhoea-predominant irritable bowel syndrome (IBS-D) from the multi-center (8 units in the country) will be enrolled. The IBS Severity Inventory (IBS-SSS) and IBS Quality of Life Scores (QOL) will be used to evaluate the effect of treatments. Retreatment patients who are initially treated and not satisfied with the improvement of symptoms and quality of life will be treated with Rifaximin for 2 weeks. Fecal specimens will be collected from patients who responded to treatment, and the fecal bacteria will be analyzed by real-time polymerase chain reaction (PCR) using 16 S ribosomal ribonucleic acid (rRNA) gene. Patients who responded to Rifaximin treatment will be randomized into A (Probiotics group) and B (Placebo group). IBS symptom grade score and quality of life score will be evaluated before and after treatment, and fecal specimens of the responding patients will be collected for intestinal probiotics and harmful bacteria detection.

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

IBS - Irritable Bowel Syndrome Gut Microbiota

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Rifaximin group

Repeating treatment of Rifaximin

Group Type ACTIVE_COMPARATOR

Rifaximin

Intervention Type DRUG

A non-aminoglycoside intestinal antibiotic, 400mg, twice one day for 2 weeks.

Probiotics group

Sequential treatment of probiotics called Bacillus subtilis and Enterococcus faecium

Group Type SHAM_COMPARATOR

Probiotic Formula

Intervention Type DRUG

A probiotic called Enterococcus faecium, 500mg, triple one day for 4 weeks.

Placebo group

Placebo control group

Group Type PLACEBO_COMPARATOR

Placebo oral tablet

Intervention Type DRUG

Placebo oral tablet that has no therapeutic effect

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

Rifaximin

A non-aminoglycoside intestinal antibiotic, 400mg, twice one day for 2 weeks.

Intervention Type DRUG

Probiotic Formula

A probiotic called Enterococcus faecium, 500mg, triple one day for 4 weeks.

Intervention Type DRUG

Placebo oral tablet

Placebo oral tablet that has no therapeutic effect

Intervention Type DRUG

Other Intervention Names

Discover alternative or legacy names that may be used to describe the listed interventions across different sources.

probiotic formula Bacillus subtilis and Enterococcus faecium Placebo

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* 18-75 years old;
* in line with the diagnostic criteria of diarrhea-type irritable bowel syndrome Roman IV;
* blood routine, blood biochemistry, stool examination and colonoscopy within 2 years are no problem;
* no intestinal warning symptoms

Exclusion Criteria

* suffering from severe heart, lung, liver, kidney, nervous system diseases;
* suffering from mental disorders caused by schizophrenia, brain organic and physical diseases;
* suffering from other diseases that may affect intestinal function (such as diabetes, thyroid disease);
* History of previous abdominal surgery (excluding history of cholecystectomy or appendectomy);
* pregnant or lactating women;
* have undergone colonoscopy in the past month or accept other bowel preparation operations;
* In the past 1 month, have used antibiotics, antidiarrheal agents, intestinal flora regulation, Chinese medicine and other drugs;
* have participated in other dietary treatments;
* understand communication barriers, unable to communicate
Minimum Eligible Age

18 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Sir Run Run Shaw Hospital

OTHER

Sponsor Role collaborator

The First Affiliated Hospital of Zhejiang Chinese Medical University

OTHER

Sponsor Role collaborator

RenJi Hospital

OTHER

Sponsor Role collaborator

Peking Union Medical College Hospital

OTHER

Sponsor Role collaborator

First Affiliated Hospital of Wenzhou Medical University

OTHER

Sponsor Role collaborator

The Central Hospital of Lishui City

OTHER

Sponsor Role collaborator

Second Affiliated Hospital, School of Medicine, Zhejiang University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Liangjing Wang, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Second Affiliated Hospital, School of Medicine, Zhejiang University

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

The Second Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, China

Site Status RECRUITING

Countries

Review the countries where the study has at least one active or historical site.

China

Central Contacts

Reach out to these primary contacts for questions about participation or study logistics.

Liangjing Wang, Ph.D

Role: CONTACT

+8613777848083

Zhenghua Lin, Ph.D

Role: CONTACT

+8618858152082

Facility Contacts

Find local site contact details for specific facilities participating in the trial.

Jian-an The President

Role: primary

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

(2019) Study No. 413

Identifier Type: -

Identifier Source: org_study_id

More Related Trials

Additional clinical trials that may be relevant based on similarity analysis.

Efficacy of Rifaximin With NAC in IBS-D
NCT06727422 NOT_YET_RECRUITING PHASE2
Efficacy and Safety of Rifaximin With NAC in IBS-D
NCT04557215 COMPLETED PHASE1/PHASE2
Rifaximin for Functional Dyspepsia
NCT01643083 COMPLETED PHASE2/PHASE3
Rifaximin on Visceral Hypersensitivity
NCT03462966 TERMINATED PHASE2